National Registry of Emergency Medical Technicians Advanced Level Practical Examination PATIENT ASSESSMENT - TRAUMA Candidate: ___________________________________________________________Examiner: ___________________________________________________

Date: ________________________________________________________________Signature: ___________________________________________________ Scenario # __________ Time Start: __________ NOTE: Areas denoted by ** may be integrated within sequence of Initial Assessment Takes or verbalizes body substance isolation precautions SCENE SIZE-UP Determines the scene/situation is safe Determines the mechanism of injury/nature of illness Determines the number of patients Requests additional help if necessary Considers stabilization of spine INITIAL ASSESSMENT/RESUSCITATION Verbalizes general impression of the patient Determines responsiveness/level of consciousness Determines chief complaint/apparent life-threats Airway -Opens and assesses airway (1 point) -Inserts adjunct as indicated (1 point) Breathing -Assess breathing (1 point) -Assures adequate ventilation (1 point) -Initiates appropriate oxygen therapy (1 point) -Manages any injury which may compromise breathing/ventilation (1 point) Circulation -Checks pulse (1point) -Assess skin [either skin color, temperature, or condition] (1 point) -Assesses for and controls major bleeding if present (1 point) -Initiates shock management (1 point) Identifies priority patients/makes transport decision FOCUSED HISTORY AND PHYSICAL EXAMINATION/RAPID TRAUMA ASSESSMENT Selects appropriate assessment Obtains, or directs assistant to obtain, baseline vital signs Obtains SAMPLE history DETAILED PHYSICAL EXAMINATION Head -Inspects mouth**, nose**, and assesses facial area (1 point) -Inspects and palpates scalp and ears (1 point) -Assesses eyes for PERRL** (1 point) Neck** -Checks position of trachea (1 point) -Checks jugular veins (1 point) -Palpates cervical spine (1 point) Chest** -Inspects chest (1 point) -Palpates chest (1 point) -Auscultates chest (1 point) Abdomen/pelvis** -Inspects and palpates abdomen (1 point) -Assesses pelvis (1 point) -Verbalizes assessment of genitalia/perineum as needed (1 point) Lower extremities** -Inspects, palpates, and assesses motor, sensory, and distal circulatory functions (1 point/leg) Upper extremities -Inspects, palpates, and assesses motor, sensory, and distal circulatory functions (1 point/arm) Posterior thorax, lumbar, and buttocks** -Inspects and palpates posterior thorax (1 point) -Inspects and palpates lumbar and buttocks area (1 point) Manages secondary injuries and wounds appropriately Performs ongoing assessment Time End: __________ CRITICAL CRITERIA ____ Failure to initiate or call for transport of the patient within 10 minute time limit ____ Failure to take or verbalize body substance isolation precautions ____ Failure to determine scene safety ____ Failure to assess for and provide spinal protection when indicated ____ Failure to voice and ultimately provide high concentration of oxygen ____ Failure to assess/provide adequate ventilation ____ Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock [hypoperfusion] ____ Failure to differentiate patients need for immediate transportation versus continued assessment/treatment at the scene ____ Does other detailed/focused history or physical exam before assessing/treating threats to airway, breathing, and circulation ____ Orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form.
2000 National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement.

Possible Points 1 1 1 1 1 1 1 1 1 2

Points Awarded

1 1 1 1

2 2 2 1 1 TOTAL 43

p301/8-003k